Document Detail


Extraanatomic lateral reconstruction to the popliteal vessels.
MedLine Citation:
PMID:  15933987     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: To describe the lateral approach to the popliteal artery in reconstructions after soft tissue sarcoma resection in the thigh. DESIGN: Case reports. Subjects Four patients with soft tissue sarcoma. METHODS: Extraanatomic reconstruction of the resected artery and vein in the medial part of the thigh was performed. Vessel reconstruction was performed before tumor resection to avoid leg ischemia. RESULTS: In all four patients the artery was replaced by using the contralateral saphenous vein, while the femoral vein was replaced in two cases using e-PTFE. Post-operative complications included one large lymphatic collection and a deep wound infection. Arterial primary graft patency was 100% after 1-7 years. Patency of the e-PTFE-venous graft was 0% without further consequences. CONCLUSIONS: The extraanatomic lateral replacement of the vessels in the thigh is an elegant method in difficult vascular reconstructions after soft tissue sarcoma resection or debridement for deep vascular infections.
Authors:
P Stierli; R Rosenthal; F Hefti; Th Eugster; T Obeid; L Gürke
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Publication Detail:
Type:  Case Reports; Comparative Study; Journal Article    
Journal Detail:
Title:  European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery     Volume:  30     ISSN:  1078-5884     ISO Abbreviation:  Eur J Vasc Endovasc Surg     Publication Date:  2005 Jul 
Date Detail:
Created Date:  2005-06-03     Completed Date:  2005-08-09     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9512728     Medline TA:  Eur J Vasc Endovasc Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  75-8     Citation Subset:  IM    
Affiliation:
Centre of Vascular Surgery, Aarau, Switzerland. peter.stierli@ksa.ch
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Arterial Occlusive Diseases / diagnosis,  etiology,  surgery*
Blood Vessel Prosthesis
Blood Vessel Prosthesis Implantation / instrumentation
Femoral Artery / pathology,  surgery*,  ultrasonography
Follow-Up Studies
Humans
Magnetic Resonance Imaging
Male
Middle Aged
Polytetrafluoroethylene
Popliteal Artery / pathology,  surgery*,  ultrasonography
Prosthesis Design
Reconstructive Surgical Procedures / methods*
Reoperation
Saphenous Vein / transplantation
Sarcoma / diagnosis,  surgery
Surgical Wound Infection / complications,  diagnosis
Ultrasonography, Doppler, Duplex
Chemical
Reg. No./Substance:
9002-84-0/Polytetrafluoroethylene

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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